| Southern Ohio Mini Dental Implant Center | |
|
41 E South St Jackson OH 45640-1638 | |
| (740) 577-3230 | |
| Not Available |
| Full Name | Southern Ohio Mini Dental Implant Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 41 E South St, Jackson, Ohio |
| Authorized Official Name and Position | Brian K Morris (OWNER/DENTIST) |
| Authorized Official Contact | 7405773230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Ohio Mini Dental Implant Center 41 E South St Jackson OH 45640-1638 Ph: (740) 577-3230 | Southern Ohio Mini Dental Implant Center 41 E South St Jackson OH 45640-1638 Ph: (740) 577-3230 |
| NPI Number | 1417572595 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 06/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417572595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |